scholarly journals Minimum Dietary Diversity and Associated Factors among Lactating Mothers in Ataye District, North Shoa Zone, Central Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
History Of ◽  
Minimum Dietary Diversity

Background. Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia. Methods. A community-based cross-sectional study design was used among 652 lactating mothers aged 15–49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model. Results. The prevalence of minimum dietary diversity among lactating mothers was 48.8% (95% CI: (44.7%, 52.9%). Having formal education ((AOR = 2.16, 95% CL: (1.14, 4.09)), a final say on household purchases ((AOR = 5.39, 95% CI: (2.34, 12.42)), home gardening practices ((AOR = 2.67, 95% CI: (1.49, 4.81)), a history of illness ((AOR = 0.47, 95% CI: (0.26, 0.85)), good knowledge of nutrition ((AOR = 5.11, 95% CI: (2.68, 9.78)), being from food-secure households ((AOR = 2.96, 95% CI: (1.45, 6.07)), and medium ((AOR = 5.94, 95% CI: (2.82, 12.87)) and rich wealth indices ((AOR = 3.55, 95% CI: (1.76, 7.13)) were significantly associated with minimum dietary diversity. Conclusion. The prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households, and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mother’s decision-making autonomy, nutrition knowledge, household food security, and wealth status.

scholarly journals Minimum Dietary Diversity and Associated Factors among Lactating Mothers in Ataye District, North Shoa Zone, Central Ethiopia: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
History Of ◽  
Minimum Dietary Diversity

AbstractBackgroundLow dietary diversity superimposed with poor quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia.MethodsA community-based cross-sectional study design was used among 652 lactating mothers aged 15-49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model.ResultsThe prevalence of minimum dietary diversity among lactating mothers was 48.8%, (95% CI: (44.7%, 52.9%). Having formal education [(AOR=2.16, 95% CL: (1.14, 4.09)], a final say on household purchases [(AOR=5.39, 95% CI: (2.34, 12.42)], home gardening practices [(AOR=2.67, 95% CI: (1.49, 4.81)], a history of illness [(AOR=0.47, 95% CI: (0.26, 0.85), good knowledge of nutrition [(AOR=5.11, 95% CI: (2.68, 9.78)], being from food-secure households [(AOR=2.96, 95% CI: (1.45, 6.07)] and medium [(AOR=5.94, 95% CI: (2.82, 12.87)] and rich wealth indices [(AOR= 3.55, 95% CI: (1.76, 7.13)] were significantly associated with minimum dietary diversity.ConclusionThe prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mothers decision-making autonomy, nutrition knowledge, household food security and wealth status.

scholarly journals Minimum Dietary Diversity Practice and Associated Factors among Children Aged 6 to 23 Months in Dire Dawa City, Eastern Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199663
Author(s):  
Alekaw Sema ◽  
Yalelet Belay ◽  
Yonatan Solomon ◽  
Assefa Desalew ◽  
Abebaw Misganaw ◽  
...  
Keyword(s):  
Postnatal Care ◽  
Associated Factors ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Dire Dawa ◽  
Minimum Dietary Diversity

Objective: Malnutrition because of poor dietary diversity contributing to child morbidity and mortality. Two-thirds of child mortality occurs within the first 2 years. However, there is limited data related to dietary diversity among children aged 6 to 23 months in Ethiopia. Thus, this study aimed to assess dietary diversity and factors among children aged 6 to 23 months in the study setting. Methods: A community-based cross-sectional study conducted on 438 children aged 6 to 23 months in Dire Dawa, 1-30/02/2019. Simple random sampling was used to select study subjects. Data collected using a structured and pretested interview administered questionnaire. Data entered using EpiData 4.2 and analyzed with SPSS Version 22. Multivariable logistic regression was used to examine associated factors. Adjusted odd-ratio with 95% confidence interval (CI) used, and P-value <.05 considered statistically significant. Results: The overall minimum dietary diversity practice was 24.4% (95% CI: 20.3, 28.5). Maternal education [AOR 2.20; 95% CI: 1.08, 4.52], decision-making [AOR = 2.5; 95% CI: 1.19, 5.29], antenatal care [AOR = 2.19; 95% CI: 1.20, 3.99], postnatal care [AOR = 6.4; 95% CI: 2.78, 14.94] and facility delivery [AOR = 2.66; 95% CI: 1.35, 5.25] were maternal factors. Moreover, child’s age [AOR = 2.84; 95% CI: 1.39, 5.83], and child’s sex [AOR = 2.85; 95% CI: 1.64, 4.94] were infant factors. Conclusion: One-fourth of children practiced minimum dietary diversity. Child’s age, birth interval, postnatal care, antenatal care, child’s sex, mothers’ decision-making, mothers’ education, and place of delivery were significant predictors. Therefore, maternal education, empowering women, and improve maternal service utilization are crucial to improving dietary diversity.

scholarly journals Food insecurity and its predictors among lactating mothers in North Shoa Zone, Central Ethiopia: a community based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040627
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Yared Asmare Aynalem ◽  
Abebaw Molla ◽  
Adane Tesfaye ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Formal Education ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Home Gardening ◽  
Income Generating Activities ◽  
Minimum Dietary Diversity

ObjectiveTo assess the prevalence of food insecurity (FI) and its predictors among lactating mothers in Ataye District, North Shoa Zone, Central Ethiopia.DesignA community-based cross-sectional study design was used.SettingTwo urban and four rural randomly selected kebeles of the Ataye District in Ethiopia.ParticipantsOut of 635 participants, 612 lactating mothers aged 15–49 years participated from February to April 2018. Mothers who lived for at least 6 months and above in the district were included, and mothers who were not able to respond to an interview were excluded. A single lactating mother per household was included. Lactating mothers in the households were selected using a cluster sampling technique. The number of lactating mothers found in each kebele was taken from family folder documentation.Primary outcomeThe prevalence and predictors of food insecurity.ResultsThe prevalence of FI among lactating mothers was 36.8%. No formal education (adjusted OR (AOR) =1.82, 95% CI 1.13 to 2.92), no income-generating activities (AOR=3.39, 95% CI 2.05 to 5.64), no home gardening practice (AOR=5.65, 95% CI 3.51 to 9.08), alcohol use by husbands (AOR=2.02, 95% CI 1.25 to 3.24), low minimum dietary diversity score (AOR=2.94, 95% CI 1.88 to 4.57), less than three frequencies of meals (AOR=3.97, 95% CI 1.65 to 9.54) and three meals only per day (AOR=1.86, 95% CI 1.08 to 3.17) were significant predictors of FI of mothers.ConclusionThe prevalence of FI was high in the study area. No formal education, no income-generating activities, no home gardening practice, alcohol use by husbands, low minimum dietary diversity score, fewer than three frequencies of meals and three meals only per day were independent predictors of FI. Therefore, increasing home gardening, decreasing alcohol intake, increasing dietary diversity and performing income-generating activities are highly recommended to reduce FI.

scholarly journals Concordance of Mother-Child (6–23 Months) Dietary Diversity and Its Associated Factors in Kucha District, Gamo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
World Health ◽  
Southern Ethiopia ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mothers And Children

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

scholarly journals Maternal Characteristics Are Associated with Child Dietary Diversity Score, in Golina District, Northeast Ethiopia: A Community-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Seteamlak Adane Masresha
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Maternal Characteristics ◽  
Dietary Diversity Score ◽  
Northeast Ethiopia ◽  
Minimum Dietary Diversity

Background. Dietary diversity is part of the set of indicators developed to assess infant and young child feeding practices. In developing countries, only a quarter of children met the required minimum dietary diversity. In Ethiopia, only 14% of children aged 6–23 months met the minimum dietary diversity score, with regional variation. Therefore, this study aimed to assess dietary diversity score and associated factors among children aged 6–23 months in Golina district, Afar region, Ethiopia. Method. A community-based cross-sectional study was conducted among 345 study participants from February 15 to March 30, 2017, in Golina district, Afar, Northeast Ethiopia. The study kebeles were selected randomly and the study subjects were selected using a cluster sampling technique. The child dietary diversity score was determined by the WHO child dietary diversity score scale, using a 24-hour dietary recall method, and data were collected using an interviewer-administered questionnaire. Multivariable logistic regression was used to identify predictor variables, and the level of significance was determined at P value <0.05. Result. This study revealed that children who met the required minimum dietary diversity score were 35.1% (95% CI, (30%–40%)). Children whose mothers have not attended formal education were 3.042 times (AOR = 3.042 95% CI: (1.312–7.052)) less likely to meet the minimum dietary diversity score than children whose mothers have attended secondary and above. Children whose mothers had normal BMI were 51.2% (AOR = 0.488, 95% CI: (0.259–918)) and 68.1% (AOR = 0.319, 95% CI: (0.119–0.855)) more likely to meet the minimum dietary diversity score than children whose mothers’ BMI was underweight and overweight, respectively. Conclusion. Maternal characteristics (educational status and nutrition status) were found to be associated with their child's dietary diversity score. This study also revealed that children who met the minimum dietary diversity score were few. Therefore, the increased emphasis on the importance of the education of girls (future mothers) and nutrition counseling for girls/women who currently have received little education on ways to improve the family and child dietary feeding practice is needed.

scholarly journals Prevalence and Associated Factors of Hypertension: A Community-Based Cross-Sectional Study in Municipalities of Kathmandu, Nepal

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Raja Ram Dhungana ◽  
Achyut Raj Pandey ◽  
Bihungum Bista ◽  
Suira Joshi ◽  
Surya Devkota
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Associated Factors ◽  
Formal Education ◽  
Lifestyle Modification ◽  
Multivariable Analysis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Objective. This study aimed to assess the prevalence and associated factors of hypertension in newly declared municipalities of Kathmandu, Nepal.Design, Settings, and Participants. This was a community-based cross-sectional study conducted in the municipalities of Kathmandu District, Nepal, between January and July 2015. Study participants were aged 18 to 70 years, residing permanently in the study sites. Municipalities, Wards, households, and respondents were selected randomly.Results. Of the 587 participants, 58.8% were females, mean (SD) age was 42.3 (13.5) years, 29.3% had no formal education, 35.1% were Brahmins, and 41.2% were homemakers. Prevalence of hypertension was 32.5% (95% CI: 28.7–36.3). Age, gender, education, ethnicity, occupation, smoking, alcohol consumption, physical activity, diabetes, menopausal history, and family history of cardiovascular disease (CVD) and hypertension were significantly associated with hypertension. In multivariable analysis, smoking, alcohol consumption, physical activity, body mass index, and diabetes were identified as significant explanatory variables for hypertension.Conclusion. This study demonstrated that the people living in newly established municipalities of Kathmandu, Nepal, have a high burden of hypertension as well as its associated factors. Therefore, community-based preventive approaches like lifestyle modification and early detection and treatment of hypertension might bring a substantial change in tackling the burden effectively.

scholarly journals Concordance of mother-child (6-23 month) dietary diversity and its associated factors in Kucha district, Gamo Gofa Zone, Southern Ethiopia: a community- based cross- sectional study

2020 ◽  
Author(s):  
Tesfaye Guja ◽  
Yeabsira Melaku ◽  
Eshetu Andarge
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Southern Ethiopia ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mothers And Children ◽  
Gamo Gofa

Abstract Background Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother- child (6-23 months) dyads dietary diversity and the associated factors in Kucha district, Gamo Gofa zone, Southern Ethiopia. Methods A community based cross-sectional study was conducted among 791 mother- child (6-23 months) pairs from 11 selected kebeles in March 6 to April 13, 2017. Multi-stage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from family folder of health posts in each kebele. The mother-child pairs were selected by simple random sampling method. The 7 food groups of World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO, 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. Multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. Result A good concordance was noted between mother- child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) of mothers were negative deviants and 133 (16.8%) of mothers were positive deviants in dietary diversity consumption. Rural residence (AOR =3.49; 95% CI: 1.90-6.41), mothers having no formal education (AOR= 1.8; 95% CI: 1.08-3.05, mothers who did not own milking cow (AOR= 1.7; 95% CI: 1.10-2.56),children with low diversity diversity(AOR= 8.23; 95% CI: 5.17-13.08) and mothers with low dietary diversity (AOR= 0.46; 95% CI: 0.29-0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with successive increase in maternal dietary diversity. Conclusion Despite, interesting similarity between mothers and children dietary consumption, more than three quarter of concordants didn’t achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home based milking cow rearing and promote nutrition sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

scholarly journals Prevalence and associated factors of hypertension in Amhara regional state city and its’ surrounding rural districts: a community-based cross-sectional study

2019 ◽  
Vol 19 (3) ◽  
pp. 2580-2590
Author(s):  
Tadesse Dagget Tesfaye ◽  
Worku Animaw Temesgen ◽  
Ayele Semachew Kasa ◽  
Yeshaneh Seyoum Yismaw
Keyword(s):  
Rural Communities ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Rural Districts ◽  
Regional State ◽  
History Of ◽  
Study Participants

Background: Nowadays, among non-communicable diseases hypertension is a growing public health important disease both in developed and developing nations. Objective: The aim of this study was to determine the prevalence and associated factors of hypertension in Amhara Regional State city and its’ surrounding rural districts, Ethiopia. Method: Community-based cross-sectional study was conducted in the urban and rural communities living in Amhara Regional State city and its’ surrounding rural districts administrations in 2015. The WHO Stepwise approach was used for data collection.Result: A total of 1405 subjects participated and the response rate was 95.5%. The overall prevalence of hypertension was 11.4% either previously diagnosed or undiagnosed and was higher in older ages. Whereas the prevalence of hypertension was 13% for urban and 10% for rural residents. Nearly half of them (46.3%) were newly diagnosed. A family history of hypertension, being underweight, overweight, obese, and raised fasting blood sugar were found to be significantly associated with raised blood pressure.Conclusion: One among every three (37.4 %) and one among every nine study participants were found to have pre-hypertension and hypertension respectively.Keywords: Prevalence of hypertension, blood pressure, Bahir Dar.

scholarly journals Feeding practice and associated factors among infants and children with common childhood illness at Dabat Health and Demographic surveillance System site: A community based cross-sectional study

2020 ◽  
Author(s):  
Gashaw Andargie Bikes ◽  
Amare Tariku ◽  
Molla Mesele Wassie ◽  
Solomon Mekonnen ◽  
Esmeal Ali Muhammad ◽  
...  
Keyword(s):  
Surveillance System ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Demographic Surveillance System ◽  
Feeding Practice ◽  
Meal Frequency ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Minimum Dietary Diversity

Abstract Background: Optimal feeding practices are recommended to improve nutritional status and prevent the common childhood illnesses. Studies on the feeding practice of children including meal frequency and dietary diversity are scarce in children with illness. Therefore, we aimed to assess feeding practice and its associated factors among children aged 6-59 months in Dabat Health and Demographic Surveillance System (HDSS) site, northwest Ethiopia. Methods : A community based cross-sectional study was conducted in Dabat HDSS site from February to June 2016 on 1,174 mother-child pairs. A multistage stratified sampling followed by a systematic random sampling technique was employed to select the study participants. A binary logistic regression model was fitted to identify factors associated with children’s feeding practice. A crude odds ratio and adjusted odds ratio with its 95% confidence intervals (CI) were calculated to see the strength of association and significance of the identified factors with feeding practices. Result: The overall prevalence of a minimum dietary diversity practice and a minimum meal frequency was 27 % (95%CI: 24.4, 29.7) and 83.7 %( 95%CI: 91.7, 86.0), respectively. Having antenatal care (ANC) service (AOR = 1.6; 95% CI: 1.18, 2.27) and institutional delivery (AOR = 2.6; 95% CI: 1.85, 3.55) increased odds of an adequate dietary diversity in children. On the contrary, the odds of practicing an adequate dietary diversity was lower among a household obtained food from home gardens (AOR = 0.4; 95% CI: 0.29, 0.52) and currently breast fed children (AOR = 0.6; 95% CI: 0.42, 0.78). The probability of having a minimum meal frequency was decreased among children in the first two years of age (AOR = 0.1; 95% CI: 0.06, 0.15), however increased in children who fed alone (AOR = 1.9; 95% CI: 1.29, 2.69). Conclusion: The proportion of children who received the minimum dietary diversity was low while the proportion of children who obtained minimum meal frequency was good. Providing a health and nutrition counseling on Infant and Young Child Feeding during maternal ANC services and delivery period are recommended for achieving the recommended dietary practices.

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